File photo of Tollevue Hospital. Initial police reports suggested that the missing patient may have had an accomplice in the breakout, but no other patients are missing. Police are investigating the whereabouts of a visiting Irish psychiatrist who toured the facility earlier yesterday.

Murderous Maniac Escapes Madhouse NEW YORK — Police report that an orderlywas brutally murdered during the escape of a patient who spent nearly a decade in a secureward for violent inmates at Tollevue Mental Hospital.

The inmate, Orrin O. Lutwidge (alias Rod K.

Quain), age 61, is believed to be at large and may still be in possession of a knife used in the attack. Authorities advise that he is to be consid-ered armed and extremely dangerous. Police have established a hotline number for leads and updates on this case.